PERCEIVED QUALITY OF CARE: THE INFLUENCE OF THE WAITING ROOM ENVIRONMENT

The current study investigated the effect of the physical environment of the waiting room on perceptions of the quality of care of the physician. One hundred forty-seven college students and 58 senior citizens viewed 35 slides of physicians' waiting rooms. Using a visual analog scale, participants rated the perceived quality of care and the environment of each waiting room. The primary hypothesis was that perceived quality of care would be greater for waiting rooms that were nicely furnished, well-lighted, contained artwork, and were warm in appearance versus waiting rooms that had outdated furnishings, were dark, contained no artwork or poor quality reproductions, and were cold in appearance. Factor analyses of the care and environment ratings produced factors consistent with the hypothesis. Additionally, waiting rooms judged to be those of female physicians were rated higher on both perceived quality of care and comfort in the environment.     

Trends in the Water Chemistry of High Altitude Lakes in Europe

Here we present the chemical trends of seven high altitude lakes, analysed within the AL:PE and MOLAR Projects of the EU (1999) and selected on the basis of the availability of complete and reliable data for the period 1984–1999. The lakes are representative of the Scandinavian Alps, the Cairngorm Mountains in Scotland, the Alps and the Pyrenees. Significant trends were identified for some indicators of acidification, for instance pH and alkalinity, but not all lakes reacted similarly to decreasing depositions of sulphate and base cations. Differences in lake response are discussed in relation to recent variations of atmospheric deposition chemistry and associated changes in climatic conditions. Beside individual variations of the studied lakes, depending, among other things, on altitude and morphology, catchment characteristics and climate trends play a major role for the reaction of high altitude lakes on changes in atmospheric depositions.     

Send in the Clones ... Don't Bother, They're Here

The creation of a cloned sheep from mammary tissue has raisedmajor social concern, and much talk about major ethical issuesoccasioned by this technology. It is necessary to separategenuine from spurious ethical issues here, a task made failureto initiate ethical discussion and explanation of new technologyas well as by fear reactions in society. As in geneticengineering of animals, issues about cloning fall into threecategories – suggestions that the technology is inherently wrong,risk emerging from the technology and harm to the creatureengendered. The issues regarding the cloning of humans can beanalyzed using the same categories.     

On the usefulness of life cycle assessment of packaging

In reaction to a paper inEnvironmental Management in which the sense and sensibility of environmental assessments of packaging were questioned, it is argued that these types of assessments may be very useful, provided the relevant types of questions are posed. These boundary conditions are discussed, along with an overview of more recent methodological developments with respect to environmental assessment of products.     

MITIGATING IMPACTS OF A SEVERE SUSTAINED DROUGHT ON COLORADO RWER WATER RESOURCES1

ABSTRACT: We evaluated the effects of institutional responses developed for coping with a severe sustained drought (SSD) in the Colorado River Basin on selected system variables using a SSD inflow hydrology derived from the drought which occurred in the Colorado River basin from 1579–1616. Institutional responses considered are reverse equalization, salinity reduction, minimum flow requirements, and temporary suspension of the delivery obligation of the Colorado River Compact. Selected system variables (reservoir contents, streamflows, consumptive uses, salinity, and power generation) from scenarios incorporating the drought-coping responses were compared to those from Baseline conditions using the current operating criteria. The coping responses successfully mitigated some impacts of the SSD on consumptive uses in the Upper Basin with only slight impacts on consumptive uses in the Lower Basin, and successfully maintained specified minimum streamflows throughout the drought with no apparent effect on consumptive uses. The impacts of the coping responses on other system variables were not as clear cut. We also assessed the effects of the drought-coping responses to normal and wet hydrologic conditions to determine if they were overly conservative. The results show that the rules would have inconsequential effects on the system during normal and wet years.     

Book reviews

Environment Systems and Decisions -     

Defining contamination limits with pneumatic hammer soil probes

There have been more than 100,000 confirmed releases of petroleum from underground storage tanks (USTs) in the United States and its territories. The 10,000-gallon spill and cleanup of unleaded gasoline, detailed in this article, that occurred from 1988 to 1990 on Cape Cod, Massachusetts, illustrates the author's argument that electric pneumatic-hammer soil probes are the fastest, most convenient, and least costly way of performing the soil-gas surveys needed to locate spilled petroleum product, evaluate vapor intrusion into basements, and determine the extent of groundwater contamination for remediation purposes. Current state soil-gas requirements are also included.